MELISSA A CLARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105536

License Status

INACTIVE

Business

First Name

MELISSA

Middle

Last Name

CLARK

Suffix

Business Name

MELISSA A CLARK MD

Original Issue Date

09/06/2001

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SILVER SPRING

State

Zip

20901

County

MARYLAND

Ever Disciplined

LastModifiedDate

04/07/2011